肝脏的囊性赤道球菌病
Hassan Aziz1, Peyton Seda1, Yashant Aswani2
1Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, United States.
概括
肝脏囊性赤道球菌 (CE) 是一种寄生虫感染,应在有风险因素的患者中考虑. 早期诊断和治疗,包括PAIR或化疗,对于管理由 Echinococcus granulosus 引起的肝囊至关重要.
科学领域:
- 寄生虫学的寄生虫学
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
背景情况:
- 囊性乙球菌 (Cystic echinococcosis,简称CE) 是一种由 Echinococcus granulosus引起的全球性甲虫病.
- 寄生虫的生命周期涉及狗作为最终宿主和人类作为中间宿主,导致幼虫囊,主要是在肝脏.
研究的目的:
- 审查肝囊性赤道球菌病 (CE) 的生命周期,流行病学,症状,诊断和治疗.
主要方法:
- 从1990年到2024年使用MEDLINE/PubMed,谷歌学者,科克兰图书馆和科学网络进行了全面的文献综述.
- 使用关键词对"肝脏的CE"进行了集中搜索:囊性乙核球菌病,水症,E粒状,肝囊,阿尔本达,PAIR.
主要成果:
- 肝囊应该是肝囊的差异诊断,特别是在有旅行史到流行地区的人群中.
- 人类感染通过食用蛋,导致肝囊的形成;症状因囊的大小/位置而异,可能导致严重并发症.
- 图像对囊的评估至关重要;诊断准确性通过抗原测试或重组蛋白质比抗体测试提高.
- 治疗不复杂的活性囊包括化疗,可能与最少侵入性PAIR程序相结合.
结论:
- 肝胆固醇囊虽然在北美很少见,但在肝囊的差异诊断中需要考虑.
- 识别患有风险因素的患者是早期发现和治疗肝脏CE的关键.
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